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64324 <br /> 4WCITY OF STOCKTON <br /> 0DEPARTMENT OF PUBLIC WORKS <br /> APPLICATION FOR ENCROACHMENT ON PUBLIC RIGHT-OF-WAY <br /> Applicant's Namesettling Dry Cleaning Defendants (qRs*) _5/29/97 . <br /> (Owner/Contractor) c/o-bonald T. );rads 1Naaw- - 9460& _ <br /> Address 1900 Powell St , 12th- Flr , Emeryville, one 510 652-45__00 <br /> ._. - - APPROVED: PUBLIC WORKS DIRECTOR <br /> Location of Pro osed Work,etc. on the frontage road located 100 . 120 ft <br /> North of LPhe NE corner of Ben�amih-Hdlt and Pacikin Ave.; ;feet <br /> we;t._of the concreet sidewalk in the. asphalt parking-lane q� 1 �7 <br /> parallel to Pacific Ave. � 6OLl- Date_-(o, -P--- <br /> Ownerl Contractor Address Weeks_Drilling,_.6100 Sebastopol Rd. SebasSopol By q(7/97 Permit Expiration Dale <br /> -- - <br /> Estimated.Starting Date _�1Z197_. Completion Date <br /> _-_._ <br /> 1 (or We) hereby appy <br /> I for an encroachment permit to carry out the following work : __-_-.---_------------- <br /> Install 3 <br /> -meri*WAW Howe _as <br /> The above named applicant hereby requests permission In PERMIT FEE ... $ - 128 _.._ 00 <br /> Additional Footage Fee <br /> Sewer Tap Deposit ---- <br /> See Attached <br /> TOTAL DEPOSIT ......... $ 128 00 <br /> Building Permit No. — <br /> Improvement Plan No. <br /> Supplemental Conditions: <br /> IJo vvovx P¢.et. -M 6'•°`..O sx� oat <br /> t.c>rf.i 4,\-�o ntn <br /> Pl\ <br /> EJP <br /> Shmv sketch above.,refer to dl.w19 submNetl <br /> IMPORTANT. Applicant hereby agrees to comply with all provisions of this permit as well as all applicable City ordinances, resolutions, <br /> standards and specifications currently in effect, and to pay to City its actual cost for removal and proper replacement of any item which <br /> does not meet above requirements. Failure to comply will be cause for revocation of permit. Applicant agrees to indemnify and hold <br /> the City harmless against any and all losses,costs,or damages resulting from injury to persons,death of person or damage to property <br /> occuring at the site of or as a result of work to be performed under this permit. A certificate of insurance shall be submitted to the <br /> City Risk Manager prior to beginning construction. (p�� <br /> PERMITTEE SHALL CONTACT UNDERGROUND SERVICE ALERT (1-800-88T-2444) TWO WORKING DAYS BEFORE BEGINNING <br /> WORK FOR LOCATION OF UNDERGROUND UTILITIES. <br /> PERMITTEE SHALL CALL(209)937-8411 24 HOURS PRIOR TO START OF WORK FOR A CONTROL NUMBER AND TO SCHEDULE <br /> INSPECTION. <br /> Read General Provisions on reverse side of this permit before signing — Note requirement of notifications and inspections. <br /> Sq,n d� '�+�-"� 1 _ _�"� Phony <br /> Isl Pe,mNeo <br /> 2nd -File \ \ 3rd-.rman<e 4ttr- t11V1$Ieel <br /> *SDCDs Defined in the First Final Consent Decree0rder Judgement and Referenced to Specia as er, filed <br /> ,Orb the court on January 18, 1996, Section IV, Paragraph G. <br />